Nino Kvantaliani, MD in Philadelphia, PA - Medicare Psychiatry & Neurology

Nino Kvantaliani, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Philadelphia, Pennsylvania. Her current practice location is 1815 John F Kennedy Blvd Apt 720, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (470) 558-8888.

Nino Kvantaliani is licensed to practice in Pennsylvania (license number MD477262) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093292427.

Contact Information

	Nino Kvantaliani, MD
	1815 John F Kennedy Blvd Apt 720, Philadelphia, PA 19103-1705
	(470) 558-8888
	Not Available

Map and Direction

Physician's Profile

Full Name	Nino Kvantaliani
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	1815 John F Kennedy Blvd Apt 720, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093292427
Provider Enumeration Date: 07/27/2018
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6103280086
Enrollment ID: I20230911003189

Medical Identifiers

Medical identifiers for Nino Kvantaliani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093292427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT215375 (Pennsylvania)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	MD477262 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nino Kvantaliani allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nino Kvantaliani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nino Kvantaliani, MD 1815 John F Kennedy Blvd Apt 720, Philadelphia, PA 19103-1705 Ph: (470) 558-8888	Nino Kvantaliani, MD 1815 John F Kennedy Blvd Apt 720, Philadelphia, PA 19103-1705 Ph: (470) 558-8888

Reviews and Comments

Psychiatry & Neurology Doctors in Philadelphia, PA

Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086

Nino Kvantaliani, MD - Medicare Psychiatry & Neurology in Philadelphia, PA